Is there a purpose to including the vomiting, drunk, aged prole woman named smith? (loss of family connection?)
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I think you are correct. There is a disconnect between Winston and his family, especially his mother. Winston always feels the heavy burden of guilt over how nasty a boy he used to be. He wonders what happened to her. The drunk prole in the cell serves as a disconnect between the mother he knew and the woman she might have been.